(PNM-37) TABOO: revealing truths and strengthening connections

Abstract Introduction/Objective Myths about sexuality contribute to sexual dysfunction by generating unrealistic expectations, anxiety, and insecurity. Cognitive Behavioral Therapy (CBT) offers strategies to deconstruct these myths, but it has limitations when it comes to working with the patient’s relationship network. This paper presents the treatment of a 35-year-old cisgender, heterosexual man, married for two years, who complained of low desire and difficulty achieving erections without stimulants. Materials and Methods Clinical case study with 30 weekly CBT sessions, using TABOO as a psychoeducational resource. Results In the first few weeks, TABOO fostered couple connection and relaxed beliefs about penetration and female pleasure, encouraging new forms of pleasure. There was a reduction in performance anxiety, performance pressure, tadalafil use, and rigid beliefs about masculinity. Sexual communication expanded, enriching the couple’s erotic repertoire and satisfaction. Conclusion TABOO proved to be a useful tool in the treatment of sexual complaints, even when only one partner participates in the psychotherapy, by indirectly impacting the relationship network. It promoted insight, communication, and connection by demystifying sexual beliefs. A reduction in anxiety and an increase in sexual satisfaction were observed, indicating clinical potential for further investigation in more controlled studies. Keywords: sexual myths; sexual dysfunction; therapeutic resource; psychoeducation. Financing No conflict

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Publication Details

Journal
The Journal of Sexual Medicine
Published
2026-02-01
DOI
https://doi.org/10.1093/jsxmed/qdag002.113
Primary Topic
Sexual function and dysfunction studies
Type
article
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article

(PNM-37) TABOO: revealing truths and strengthening connections

Graziele Zwielewski, B Belo Ramos de Araújo
The Journal of Sexual Medicine
Sexual function and dysfunction studies
article

(PNM-37) TABOO: revealing truths and strengthening connections

Graziele Zwielewski, B Belo Ramos de Araújo
article en

Abstract

Abstract Introduction/Objective Myths about sexuality contribute to sexual dysfunction by generating unrealistic expectations, anxiety, and insecurity. Cognitive Behavioral Therapy (CBT) offers strategies to deconstruct these myths, but it has limitations when it comes to working with the patient’s relationship network. This paper presents the treatment of a 35-year-old cisgender, heterosexual man, married for two years, who complained of low desire and difficulty achieving erections without stimulants. Materials and Methods Clinical case study with 30 weekly CBT sessions, using TABOO as a psychoeducational resource. Results In the first few weeks, TABOO fostered couple connection and relaxed beliefs about penetration and female pleasure, encouraging new forms of pleasure. There was a reduction in performance anxiety, performance pressure, tadalafil use, and rigid beliefs about masculinity. Sexual communication expanded, enriching the couple’s erotic repertoire and satisfaction. Conclusion TABOO proved to be a useful tool in the treatment of sexual complaints, even when only one partner participates in the psychotherapy, by indirectly impacting the relationship network. It promoted insight, communication, and connection by demystifying sexual beliefs. A reduction in anxiety and an increase in sexual satisfaction were observed, indicating clinical potential for further investigation in more controlled studies. Keywords: sexual myths; sexual dysfunction; therapeutic resource; psychoeducation. Financing No conflict

The Journal of Sexual MedicineVol. 23(Supplement_1)
Universidade Federal de Santa Catarina (BR), Faculdade de Ciências Médicas de Minas Gerais (BR)
Gender equality
Openalex Percentile: Top 69%
Sexual function and dysfunction studies
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(PNM-37) TABOO: revealing truths and strengthening connections — Graziele Zwielewski, B Belo Ramos de Araújo · The Journal of Sexual Medicine (2026) | TGRS Research Map | TGRS